Case Study Sarah Miller Obesity

Over this last week, I have received a patient named Sherman “Red” Yoder. He is an 80-year-old male farmer, who lives alone in the farmhouse that he had grown up in. Red was married for 50 years and has been a widow now for 10 years. Red has one son, Jon, who takes care of the farmhouse and the land. He has one daughter-in-law, Judy, who is in involved with his care. Red was diagnosed with diabetes six months ago. Diabetes mellitus is a chronic condition that affects your body 's ability to use the energy found in food. As of only a few weeks ago, Red has been managing his diabetes with insulin. Insulin is a hormone that controls blood sugar. Before he began using insulin, he managed his diabetes with oral medication. After carefully assessing Red’s chronic illness, diabetes, many red flags were presented that could interfere with his management. In turn, this would cause further complications.

He told me that he was diagnosed with type 2 diabetes in December 2010. Since his doctor prescribed rapid acting insulin for his diabetes, I asked him if it is acceptable to talk about his medical condition in front of his family. He gave me consent to talk about his medical problems in front of his wife and children. I suggested to him the need to take his insulin shot right before eating a meal. I informed him about the insulin medications that he was taking which was lispro. It has an onset of 10 to 30 minutes, peak time of 30 to 3 hours and a duration of 3 to 5 hours. Furthermore, I emphasized the need for him to eat a balanced diet, and the importance of exercise. I encouraged him to eat small amounts of carbohydrates during 30 minutes of exercise to prevent hypoglycemia. I also taught him that the signs and symptoms of hypoglycemia are tachycardia, irritation, excessive hunger, restless, diaphoretic and depression. He told me that he did not like to walk and do any activity besides going to his job. I brought some articles about how eating healthy, taking his medication, and regular exercise has shown to prevent, slow down the progressive process on type 2 diabetes. I suggested to him to start walking around his neighborhood, and later he could find a support group of friends can walk together with. For instance, Lewis, Sharon, Margaret Heitkemper, and Linda Bucher. "Medical-Surgical Nursing: Assessment and Management of Clinical

Consider J.M. J. M. a 43-year-old Hispanic female with type 2 diabetes, with lipid abnormalities and hypertension. LDL 174, HDL 52 and Triglycerides 32, A1C 9.3, microalbumin 32, and fasting blood glucose of 216 with average glucose variance of 200mg/dl, blood pressure 145/89, morbidly obese at 262 pounds. She has been diabetic for 10 years and has not seen an educator since her diagnosis. She previously danced for exercise, but has not done so in a while to work and family obligations. She has three children age 16, 14 and 10. She is married and the primary source of income for the family, which presents significant stress. J.M. presents with numerous comorbidities that contribute to the development of cardiovascular disease. Current medications

America's children are not getting enough exercise, and the health risks due to obesity are becoming epidemic in nature. Even First Lady Michelle Obama is supporting an initiative to help children become more active and to provide for exercise (at least 30-60 minutes per day) in all schools. Even limited amounts of exercise can have great health benefits. When humans exercise, the brain produces chemicals that help enhance mood, limit cravings for sugars, and contribute to healthier joints, muscles, the heart, and kidneys. In turn, this translates into more productive work time, the ability to sleep better, increase memory, and reduce dependence on medications. Children are so vulnerable to this health risk that if it continues, over 60% of graduating seniors will be clinically obese. Written by a medical journalist, the book is designed for the lay reader but has a number of documented scholarly sources.

Reading the article “Childhood Obesity”, in the International Encyclopedia of Rehabilitation written by Elizabeth Wambui Kimani-Murage obtained from the internet, gave clarity and insight into the vast and significant problem we face in America with the childhood obesity crisis. The author illuminated many good points as to the definition, cause, and repercussions of this devastating epidemic. The article was factual and contained much valuable data and statistical evidence. The facts and in-depth illustrations brought forth by the author will be beneficial in supporting my thesis, in part, by illustrating the ties the junk food industry has in detrimentally impacting the health of the nation’s children by producing poor quality foods.

R was initially diagnosed with Type two diabetes. Her doctor prescribed medication for Type two diabetic patients and provided pain pills to relieve her knee pain. The doctor recommended she improve her diet. She saw a diet program from TV (she didn’t provide a name) that was said to help individuals reverse Type two diabetes. The diet was quite restrictive, limiting intake to eggs, meat, fish, and vegetables. Fruit was heavily prohibited early in the trial. Only after two weeks can you relax the restriction and open up to more food options. Her one-month duration didn’t improve her problems – her condition continued to worsen, so she immediately halted the diet program in fear that the program further exacerbated her health

According to the University of Washington’s Institute for Health Metrics, “the prevalence of morbid obesity appears to be growing particularly fast, where an estimated 6.6 percent of the United States population falls into that category” (Leahey 2). In looking at the statistics, the United States appears to be in the midst of an obesity epidemic. Not only does this epidemic give the United States an unhealthy reputation, but it also presents obesity in a generally negative manner. “Morbid Obesity is a Disability” by Helen Leahey addresses the implications of obesity in the work force by suggesting many overweight employees are experiencing weight discrimination.

Mrs. Love related her weight began in the sixth or seventh grade,56 but she was not overly heavy. She described herself as a normal size until her second child was born and since her moved to Mississippi from Illinois. She stated "you guys have food in gas stations!" She summarily became addicted to fry chicken, french fries and has been drinking at least 3 to 5 sodas daily. She reported having access to significant foods on the weekends and she "loves to cook." Mrs. Love related her weight gain has come from an emotional place, in that she is not been happy since her moved to Mississippi. She reported her triggers for overeating are: difficulty refrain from eating when she sees food, boredom, TV eating, and being unhappy living in Mississippi

It is revealed that the genetic diversity of CD36 is associated with lipid cognition for high-fat diet in the oral cavity and obesity of African-American adult people[86]. Genetic diversity of CD36 and of FFAR4 are involved in low LCFA perception of obese patients[87-90]. Similarly, an inability to perceive low concentrations of fatty acids in foods was associated with greater consumption of fatty foods, specifically butter, meat, dairy, and increasing BMI[91]. Threshold to recognize the oleic acid is higher in overweight or obese patients than non-obese individuals[92]. This suggests that the overweight or obese patients tend to intake a lot of energy and fat than non-obese individuals. 　60％

In this week’s assignment, the claimant was 5'9" and weighed 370 pounds, giving her a body mass index (BMI) of 46 (a BMI of 20-25 is the ideal range for an adult, and a BMI, of greater than 40 indicates a serious weight problem and carries the greatest risk for medical complications. The patient was referred to an endocrinologist for further intervention, placed on appropriate oral medication, and given an appropriate carbohydrate-restricted diet. With ongoing telephonic support from the case manager during the initial trial of medication, the patient showed improvement. The patient regularly attended both Weight Watchers and the bariatric support group meetings, and kept a written log of her meals When the case manager suggested that she identify her

The prevalence of obesity in England has more than tripled in the last 25 years. (Department of Health 2012) largely due to dramatic changes in dietary/lifestyle trends with attributing factors such increasing use of transportation, sedentary lifestyles, wider food choices, availability of cheap convenience foods in times of economic decline and also powerful food advertising through media coverage and the increase in fast food restaurants and larger portions; all of these factors have led to a dramatic rise in obesity in the UK, leaving the government with a major public health dilemma due to its

In today's society, everybody wants a quick fix to all of their cosmetic problems. Whether we want better faces, better bodies, whatever, we want it now and we surely do not want to work for results. Due to this incredible demand for immediate self-improvement, the weight loss market has turned into a multi-billion dollar industry preying on people who are uniformed about weight loss and the body's capabilities. Many products and programs such as Jenny Craig, Weight Watchers, and the like are useful to many people and teach them how to maintain their entire lives in addition to their weight. Unfortunately, there are also products on the market today that offer false claims about individuals' ability

The obesity rate is on the rise worldwide and looking at your case scenario, the health condition of this family is considerably acceptable. Obviously, the parents are maintaining a healthy life style such as eating right and exercise to achieve a normal weight, although their 8year old child is slightly under-weight. Bringing the child’s weight to a normal weight for his age is recommended. The parents should make sure that their child’s consume about 45% to 65% of daily calories from carbohydrates, 25% to 35% of fat, 10% to 30% of protein, and vitamin, minerals and electrolytes (Balls et al., 2015).

B. (Barton, 2015). He is a 59 year old male, with a family history of Diabetes Mellitus II (DM II) and he has currently had no other medical conditions. Mr. B. has a history of not maintaining a healthy diet, being slightly overweight, but maintains a somewhat active lifestyle. His main staples, included white rice, potatoes, anything fried, extra-large helpings, bread and any type of southern food. Three years ago he went in for a physical and this was when he was diagnosed with DM II. He was placed on glipizide, encouraged to go on a diet and begin an exercise routine. He just went in for a yearly physical and his DMII is still not in control. He has done everything his physician suggested, lost 60 pounds and joined a gym, where he walks at least three miles a day. He has now been sent to an endocrinologist. His main concern was that he did not want to be placed on insulin. Mr. B. needs a health care plan with SMART goals included. This plan will include a rationale for each of the desired outcomes of the goals. Mr. B. needs to build a support system that benefits his physical, mental, social, emotional and spiritual needs. This will help to make better decisions related to diabetes and making it easier for him to improve his coping skills and care of himself. Mr. B.’s smart goal for his knowledge deficit would be to get more education on his disease and how it

The patient is a 55 year old African American female of the middle class. She lives in an area that provides a variety of nutritious goods and resources, and is capable of affording these products. Although she has access to numerous food varieties, her diet does not mirror this. After speaking with the patient I realized her diet includes some typical problem foods of the African American community, such as: bread, greens, potatoes and desserts. Like many African Americans, the patient is aware she is overweight and notes she would like to lose approximately 30 pounds in the next three months, through better eating and exercise. With this weight loss she hopes to reach a healthy weight for her size, and be able to better